Acute compartment syndrome with dorsalis pedis artery rupture after an acute ankle inversion trauma
Acute compartment syndrome in lower limbs is commonly seen in fractures, crash injuries, vascular impairment, and rarely due to ankle sprain. We report a case of a 16-year-old male who was admitted to the emergency room after a traumatic lateral ankle inversion. Significant swelling and moderate pa...
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé
2024-12-01
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| Series: | Journal of the Foot & Ankle |
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| Online Access: | https://jfootankle.com/JournalFootAnkle/article/view/1799 |
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| author | Gregorio Villarreal Villarreal Omar Ituriel Vela Goñi Gerardo Lozano Balderas José Fernando de la Garza Salazar Adriana Hernandez Lopez |
| author_facet | Gregorio Villarreal Villarreal Omar Ituriel Vela Goñi Gerardo Lozano Balderas José Fernando de la Garza Salazar Adriana Hernandez Lopez |
| author_sort | Gregorio Villarreal Villarreal |
| collection | DOAJ |
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Acute compartment syndrome in lower limbs is commonly seen in fractures, crash injuries, vascular impairment, and rarely due to ankle sprain. We report a case of a 16-year-old male who was admitted to the emergency room after a traumatic lateral ankle inversion. Significant swelling and moderate pain were present at admission. Plain radiographs showed no bone abnormality. After 60 minutes, the classic signs and symptoms of acute compartment syndrome began, with no response to painkillers. Doppler ultrasound revealed arteries occlusion distal to the superior portion of the extensors retinaculum of the ankle. Anterior foot and ankle fasciotomy were performed, with an angiography revealing a dorsalis pedis artery rupture; both ends were ligated intraoperatively. Postoperative flow was observed through the local collateral system.
Level of Evidence IV; Therapeutic Studies; Case Report
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| format | Article |
| id | doaj-art-4a35e2bd28f14b96a6bb6d97f66a1603 |
| institution | Kabale University |
| issn | 2675-2980 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé |
| record_format | Article |
| series | Journal of the Foot & Ankle |
| spelling | doaj-art-4a35e2bd28f14b96a6bb6d97f66a16032024-12-20T19:54:39ZengAssociação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPéJournal of the Foot & Ankle2675-29802024-12-0118310.30795/jfootankle.2024.v18.1799Acute compartment syndrome with dorsalis pedis artery rupture after an acute ankle inversion traumaGregorio Villarreal Villarreal0https://orcid.org/0000-0001-9712-8227Omar Ituriel Vela Goñi1https://orcid.org/0000-0002-7958-9676Gerardo Lozano Balderas2José Fernando de la Garza Salazar3Adriana Hernandez Lopez4https://orcid.org/0000-0001-5409-176XInstituto de Ortopedia. Hospital Zambrano Hellion TecSaludInstituto de Ortopedia. Hospital Zambrano Hellion TecSaludInstituto de Cirugia Vascular. Hospital Zambrano Hellion TecSaludInstituto de Ortopedia. Hospital Zambrano Hellion TecSaludInstituto de Ortopedia. Hospital Zambrano Hellion TecSalud Acute compartment syndrome in lower limbs is commonly seen in fractures, crash injuries, vascular impairment, and rarely due to ankle sprain. We report a case of a 16-year-old male who was admitted to the emergency room after a traumatic lateral ankle inversion. Significant swelling and moderate pain were present at admission. Plain radiographs showed no bone abnormality. After 60 minutes, the classic signs and symptoms of acute compartment syndrome began, with no response to painkillers. Doppler ultrasound revealed arteries occlusion distal to the superior portion of the extensors retinaculum of the ankle. Anterior foot and ankle fasciotomy were performed, with an angiography revealing a dorsalis pedis artery rupture; both ends were ligated intraoperatively. Postoperative flow was observed through the local collateral system. Level of Evidence IV; Therapeutic Studies; Case Report https://jfootankle.com/JournalFootAnkle/article/view/1799Compartment syndrome; Pediatric; Ankle injuries; Supination. |
| spellingShingle | Gregorio Villarreal Villarreal Omar Ituriel Vela Goñi Gerardo Lozano Balderas José Fernando de la Garza Salazar Adriana Hernandez Lopez Acute compartment syndrome with dorsalis pedis artery rupture after an acute ankle inversion trauma Journal of the Foot & Ankle Compartment syndrome; Pediatric; Ankle injuries; Supination. |
| title | Acute compartment syndrome with dorsalis pedis artery rupture after an acute ankle inversion trauma |
| title_full | Acute compartment syndrome with dorsalis pedis artery rupture after an acute ankle inversion trauma |
| title_fullStr | Acute compartment syndrome with dorsalis pedis artery rupture after an acute ankle inversion trauma |
| title_full_unstemmed | Acute compartment syndrome with dorsalis pedis artery rupture after an acute ankle inversion trauma |
| title_short | Acute compartment syndrome with dorsalis pedis artery rupture after an acute ankle inversion trauma |
| title_sort | acute compartment syndrome with dorsalis pedis artery rupture after an acute ankle inversion trauma |
| topic | Compartment syndrome; Pediatric; Ankle injuries; Supination. |
| url | https://jfootankle.com/JournalFootAnkle/article/view/1799 |
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